Several common questions and answers about uterine myomectomy

At present, the clinical treatment technology for uterine fibroids is relatively mature, and there are many treatment methods. For example, the widely used uterine fibroid removal surgery has been very well applied. However, many patients have some questions about uterine fibroid removal surgery. Let's ask experts to answer some common questions for us.

1. Will uterine fibroids recur after removal?

Recurrence is a very normal phenomenon, that is, many patients have recurrence after myomectomy. Smaller uterine fibroids are difficult to completely remove during surgery, which leads to continued growth after surgery. In addition, since there is no fundamental change in the individual's physique, lifestyle, and genetic factors, the internal conditions for fibroid growth still exist, so there is still a source of recurrence of fibroids. According to statistics, the recurrence rate 2 to 5 years after myomectomy is 20~50%, and one-third of recurrent patients need treatment again.

2. When can I get pregnant after the uterine fibroids are removed?

If the myomectomy is successful, the patient can get pregnant normally. However, you should pay attention to the first issue of time when getting pregnant. The time of pregnancy after surgery should be determined according to the type of uterine fibroids. For example, the time of subserosal uterine fibroids can be relatively short, and you can get pregnant one year after the removal. If it is intramural fibroids, it is safer to get pregnant two years after surgery. If it is submucosal uterine fibroids, you can get pregnant a few months to half a year after hysteroscopic treatment. If it is an open abdomen, it will take more than 2 years after surgery. Because the surgical process of subserosal fibroids and intramural fibroids is to cut the uterine myometrium, the healing is carried out in the form of scars. If you get pregnant too early, the wound may rupture, which is a relatively high risk.

In addition, if the patient wishes to get pregnant, it is best to do so after one year, because pregnancy too early may put the patient in danger.